Individual
EUGENE H NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19802
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
31022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003888
TLC TENNCARE
TN
01
—
0179491
BLUE CROSS
TN
01
—
10057946
AMERIGROUP GA MEDICAIDCMO
GA
01
—
119552
UNISON TENNCARE
TN
05
—
3080285
—
TN
01
—
335775
WELLCARE GA MEDICAID CMO
GA
05
—
5902766
—
NC
05
—
64917685
—
KY
Enumeration date
09/26/2006
Last updated
07/08/2007
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